COMMUNITY HEALTH CENTER OF GROTON (Credential# 968484) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2022. The license status is ACTIVE.
COMMUNITY HEALTH CENTER OF GROTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000482. The credential type is psychiatric outpatient clinic. The effective date is July 1, 2018. The expiration date is June 30, 2022. The business address is 481 Gold Star Hwy # 100, Groton, CT 06340-6702. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER OF GROTON |
| Business Name | COMMUNITY HEALTH CENTER OF GROTON |
| Doing Business As | COMMUNITY HEALTH CENTER OF GROTON |
| Credential ID | 968484 |
| Credential Number | POCA.0000482 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
481 Gold Star Hwy # 100 Groton CT 06340-6702 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-28 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-04-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1436381 | SA.0000544 | Substance Abuse | 2017-07-11 | 2019-07-01 - 2021-06-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center of Groton | 481 Gold Star Hwy Ste 100, Groton, CT 06340-6702 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Street Address | 481 GOLD STAR HWY # 100 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Margaret Dalrymple | 481 Gold Star Hwy Ste 100, Groton, CT 06340-6702 | Controlled Substance Registration for Practitioner | 2019-03-25 ~ 2021-02-28 |
| Maritza Bourassa | 481 Gold Star Hwy Ste 301, Groton, CT 06340-6702 | Licensed Clinical Social Worker | 2017-02-01 ~ 2018-01-31 |
| Community Health Center of Groton | 481 Gold Star Hwy Ste 100, Groton, CT 06340-6702 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Barbara J Anderson | 481 Gold Star Hwy Ste 301, Groton, CT 06340-6702 | Marital and Family Therapist | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center Inc. · Community Health Care Center of Groton | 333 Long Hill Road, Groton, CT 06340 | Outpatient Clinic | 2009-07-01 ~ 2013-06-30 |
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment Program | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Southwest Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Day Street Community Health Center | 49 Day St, Norwalk, CT 06854-4901 | Psychiatric Outpatient Clinic | 2018-07-01 ~ 2022-06-30 |
| Community Health Center of Wherever You Are Friendship Services Center | 241-249 Arch St, New Britain, CT 06051-2518 | Psychiatric Outpatient Clinic | 2018-10-01 ~ 2022-09-30 |
| Housatonic Community College Health Center | 900 Lafayette Blvd, Bridgeport, CT 06604-4704 | Psychiatric Outpatient Clinic | 2018-06-06 ~ 2022-03-31 |
| Stratford Community Health Center | 727 Honeyspot Rd, Stratford, CT 06615-7172 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Norwalk Community Health Center Inc. · Norwalk Community Health Center, Inc. | 120 Connecticut Ave, Norwalk, CT 06854-1525 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF GROTON.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).